MICHAEL D OTTNEY (D.O.) – Family Medicine Physician, NPI 1558460477
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
5,037 FAMILY PRACTICE in IL
Provider Addresses for MICHAEL D OTTNEY (D.O.)
209 NW 11th St
Fairfield, IL 628371218
Phone: (618) 842-4470
Fax: (618) 842-3437
Type: Location
707, Logan Avenue, Danville, Boyle County, Kentucky, 40422, United States
DANVILLE, IL 618324360
Phone: (217) 477-4748
Fax: (217) 444-4966
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2005-01-27
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20050127000441 | I | Family Practice | IL | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 369 | 158 | $0 |
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 138 | 75 | $0 |
| 99238 | Hospital discharge day management, 30 minutes or less | 67 | 60 | $0 |
| 36415 | Insertion of needle into vein for collection of blood sample | 48 | 31 | $0 |
| 99233 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | 42 | 23 | $0 |
Insurance plans in this area (ZIP 62837)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | IL | |
| O B S T E T R I C S/ G Y N E C O L O G Y | IL | |
| Family Practice, Geriatric Medicine | IL | |
| Nurse Practitioner | IA | |
| Physician Assistant | IL | |
| Nurse Practitioner | IL | |
| Orthopedic Surgery | IL | |
| Nurse Practitioner | IL | |
| Family Practice, Emergency Medicine | IL | |
| Family Practice | IL |
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